Better Help for Smokers to Quit Dr Jim Primrose Chief Advisor

Ministry of HealthSeptember 2011

New Zealanders and smoking Current smokers: 21.0% of adults (15–64 years) Ethnic group Female Male Maori 49.3% 40.2% Pacific 28.5%32.3% European/Other 18.9%20.6% Asian 4.4%16.3% NZ Tobacco Use Survey 2009

Ministry of HealthSeptember 2011 Current smoking status by age group ( 2009) NZ Tobacco Use Survey 2009

Ministry of HealthSeptember 2011 Some positive signs NZ’s rate of daily smoking was the 4 th lowest in the OECD in 2007, and we have close to the highest rate of decline between 1995 and 2007 Daily smoking prevalence has declined 54% for girls and 59% for boys (14-15 yrs) since Daily smoking prevalence* among Year 10s Current smoking prevalence* among adults (15+) * The definition of current smoker is the WHO one of a person who has smoked more than 100 cigarettes in their life and smokes currently at least once a month.

Ministry of HealthSeptember 2011 Do smokers want to smoke? 4 in 5 smokers said that they would not smoke if they had their life over again 3 in 5 had tried to quit in the last 5 years 1 in 4 had quit for at least a week in the last 12 months NZ Tobacco Use Survey 2009

Ministry of HealthSeptember 2011 The Health Target ‘Better Help for Smokers to Quit’ One of the Government’s 6 health targets Target: “95% of hospitalised smokers will receive brief advice and support to quit.” Results: June 10 June 11 57% 85%

Ministry of HealthSeptember 2011 ABC is a reminder of what to do A - ask whether a person smokes B - give brief advice to quit to all people who smoke C – make an offer of cessation treatment

Ministry of HealthSeptember in 40 smokers will quit for good, just because they’ve received brief advice

Ministry of HealthSeptember 2011 From July 2011 the target extends to primary care, “90% of enrolled patients who smoke and are seen in general practice will be provided with brief advice and support to quit.”

Ministry of HealthSeptember 2011 Aveyard and West. Managing Smoking Cessation. BMJ 2007;335:37-41 Cumulative chances of quitting over time when making one quit attempt per year with and without cessation treatment Without treatment With medication With medication and support

Ministry of HealthSeptember 2011 NRT doubles the chance of quitting for good

Ministry of HealthSeptember 2011 Making it happen PPP Advisory Group Dr Jocelyn Tracey (chair), Dr David Maplesden, Dr Alistair Humphrey, Dr Jim Primrose, Dr Malcolm Dyer, Dr Rod Jackson, Dr Simon Wynn-Thomas, Rose Lightfoot, Rosalind Rowarth, Paul Roseman, Margaret Gibbs, Linda Bryant, Erica Amon, David Taylor, Andrew Coe and Yaw Moh Alignment of PHO Performance Programme indicators and National Health Targets Development of data standards Work with PMS suppliers Support for PHOs Regular ebulletin Development and distribution of resources

Ministry of HealthSeptember 2011 Useful Resources Quitline ( )  A number of helpful tools – phone, text and online You Tube  How to use NRT correctly – Dr Hayden McRobbie (hayden nrt) Smoking Cessation ABC e- Learning tool  The hiirc website  Goodfellow Quiz: Smoking Cessation Key people  Dr John McMenamin, Karen Evison – Target Champions  Dr Hayden McRobbie – Clinical Advisor  Serena Curtis-Lemuelu – Programme Manager PPP